Provider Demographics
NPI:1053344465
Name:FRANCIS NEW YORK PLASTIC SURGERY PC
Entity type:Organization
Organization Name:FRANCIS NEW YORK PLASTIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-226-0677
Mailing Address - Street 1:2307 BELLMORE AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5651
Mailing Address - Country:US
Mailing Address - Phone:516-308-7070
Mailing Address - Fax:516-308-7071
Practice Address - Street 1:114 E 71ST ST
Practice Address - Street 2:SUITE 1W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5040
Practice Address - Country:US
Practice Address - Phone:631-878-4642
Practice Address - Fax:631-878-4280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174830208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03448BMedicare ID - Type UnspecifiedGHI MEDICARE
NYF89627Medicare UPIN
NYWDW331Medicare ID - Type UnspecifiedEMPIRE BCBS MEDICARE